Healthcare Provider Details

I. General information

NPI: 1861823221
Provider Name (Legal Business Name): DHYE HEALTHCARE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 04/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9496 MAGNOLIA AVE SUITE 207
RIVERSIDE CA
92503-3728
US

IV. Provider business mailing address

9496 MAGNOLIA AVE SUITE 207
RIVERSIDE CA
92503-3728
US

V. Phone/Fax

Practice location:
  • Phone: 951-352-0210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DICK HAMPARSUMIAN
Title or Position: DIRECTOR
Credential:
Phone: 951-352-0210